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A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus

An 80-year-old male with a past medical history of Crohn's disease presented to the emergency department with complaints of nausea and multiple episodes of coffee-ground emesis and was initially diagnosed with upper gastrointestinal bleed. On physical examination, the patient was noted to have...

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Detalles Bibliográficos
Autores principales: Abideen, Zain U, Bhatti, Rehman M, Jaan, Ali, Ahmed, Zahoor, Laghari, Pervaiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526953/
https://www.ncbi.nlm.nih.gov/pubmed/33014654
http://dx.doi.org/10.7759/cureus.10158
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author Abideen, Zain U
Bhatti, Rehman M
Jaan, Ali
Ahmed, Zahoor
Laghari, Pervaiz
author_facet Abideen, Zain U
Bhatti, Rehman M
Jaan, Ali
Ahmed, Zahoor
Laghari, Pervaiz
author_sort Abideen, Zain U
collection PubMed
description An 80-year-old male with a past medical history of Crohn's disease presented to the emergency department with complaints of nausea and multiple episodes of coffee-ground emesis and was initially diagnosed with upper gastrointestinal bleed. On physical examination, the patient was noted to have a mildly tense and tender abdomen with hyperactive bowel sound. His CT abdomen showed a markedly distended stomach with mesenteroaxial (MA) rotation and localized fluid in the left upper quadrant with the caudal displacement of the spleen due to the left upward position of the stomach. The gastric outflow tract was pinched to the left of the midline superior to the esophagogastric junction, consistent with the gastric volvulus. Endoscopic detorsion was initially planned, but it was unsuccessful due to the twisting of the distal stomach in the antrum. The patient underwent laparoscopic detorsion and gastropexy. He was found to be asymptomatic after the procedure and was discharged with outpatient follow-up. Gastric volvulus is a rare yet potentially fatal condition due to its variable presentation, and it can have lethal consequences if not treated properly and in a timely manner.
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spelling pubmed-75269532020-10-01 A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus Abideen, Zain U Bhatti, Rehman M Jaan, Ali Ahmed, Zahoor Laghari, Pervaiz Cureus Family/General Practice An 80-year-old male with a past medical history of Crohn's disease presented to the emergency department with complaints of nausea and multiple episodes of coffee-ground emesis and was initially diagnosed with upper gastrointestinal bleed. On physical examination, the patient was noted to have a mildly tense and tender abdomen with hyperactive bowel sound. His CT abdomen showed a markedly distended stomach with mesenteroaxial (MA) rotation and localized fluid in the left upper quadrant with the caudal displacement of the spleen due to the left upward position of the stomach. The gastric outflow tract was pinched to the left of the midline superior to the esophagogastric junction, consistent with the gastric volvulus. Endoscopic detorsion was initially planned, but it was unsuccessful due to the twisting of the distal stomach in the antrum. The patient underwent laparoscopic detorsion and gastropexy. He was found to be asymptomatic after the procedure and was discharged with outpatient follow-up. Gastric volvulus is a rare yet potentially fatal condition due to its variable presentation, and it can have lethal consequences if not treated properly and in a timely manner. Cureus 2020-08-31 /pmc/articles/PMC7526953/ /pubmed/33014654 http://dx.doi.org/10.7759/cureus.10158 Text en Copyright © 2020, Abideen et al. http://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Abideen, Zain U
Bhatti, Rehman M
Jaan, Ali
Ahmed, Zahoor
Laghari, Pervaiz
A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus
title A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus
title_full A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus
title_fullStr A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus
title_full_unstemmed A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus
title_short A Twist in Crohn’s Disease: A Rare Case of Gastric Volvulus
title_sort twist in crohn’s disease: a rare case of gastric volvulus
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7526953/
https://www.ncbi.nlm.nih.gov/pubmed/33014654
http://dx.doi.org/10.7759/cureus.10158
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